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venous air embolism (MAE) during an emergency surgery under general anesthesia and its successful management. A 55-year-old male patient was scheduled for emergency surgery, and was premedicated with palonosetron before induction of anesthesia. The induction was performed with propofol and the maintenance with 0.5% sevoflurane and remifentanil. A bolus of propofol was administrated tomaintain anesthesia after the surgery. The patient presented a MAE during the surgery that could be identified only by a thoracic CT-scan performed in the postoperative period. Reversal of the anesthesia was performed with 0.5 mg of atropine, 30 mg of etomidate, 125 mg of tranexamic acid, and 1,000 mg of fresh frozen plasma. On the postoperative day 1, the patient was discharged without furthercomplications. The perioperative MAE diagnosis is challenging and is sometimes difficult even with radiological evaluation f678ea9f9e
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